| Organization Name: | WHITE EARTH HEALTHCARE CENTER |
| NPI Number: | 1194975136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARA INGRID HUSBY (COTA/L) |
| Mailing Address: | 40520 County Highway 34 Ogema |
| State: | MN US |
| Postal Code: | 565699612 |
| Phone Number: | 2189836200 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2008 |
| NPI Last Update Date: | 09/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 10147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |